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Patient Experience at Endoscopy Centers in Three West African Countries during the COVID-19 Pandemic
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作者 Alice Nanelin Guingané Euloge Houndonougbo +7 位作者 Jamila Abdouramane Soli Léonce Steve Zoungrana Sandrine Soudré Aboubacar Coulibaly Sosthène Somda Roger Sombié Appolinaire Sawadogo Alain Bougouma 《Open Journal of Gastroenterology》 CAS 2023年第4期161-169,共9页
Corona virus infection and the risk of contagiousness to medical personnel or patients during endoscopy necessitated further measures in the endoscopy rooms. The objective of this study was to assess the experience of... Corona virus infection and the risk of contagiousness to medical personnel or patients during endoscopy necessitated further measures in the endoscopy rooms. The objective of this study was to assess the experience of patients in endoscopy rooms during the COVID-19 epidemic in West Africa. Patients and Methods: This was a multicenter cross-sectional study that took place over a period of 3 months (June to August 2020) in endoscopy centers in Burkina Faso, Benin and Niger. An online questionnaire was sent to patients who had performed upper digestive endoscopies, in 8 digestive endoscopy centers including private, public and religious structures. Depending on the choice of patients, questionnaires were either sent electronically or completed in the endoscopy room with the help of field investigators. The choice of centers was random from the list of centers and descriptive analyses were carried out. Results: A total of 294 patients responded to the online questionnaire. There were 37 lower and 257 upper gastrointestinal endoscopies. The female sex represented 52.1%. The wait times for obtaining an endoscopy appointment were considered satisfactory by 281 patients 95.6%. In the endoscopy departments, 112 patients, or 38.1%, were questioned about the risk factors for contamination of SARS-CoV-2. Among the risk factors found, 6 patients (2.0%) would have traveled abroad in the 2 weeks preceding the examination, 4 patients 1.4% had already been in contact with a subject at risk. The most frequent symptoms were chest pain (80 cases;27.2%), flu-like syndrome (29 cases;9.9%), cough (40 cases;13.6%), fever (46 cases;15.6%). In contrast, ageusia (7 cases;2.4%) and anosmia (5 cases;1.7%) were only found in very few patients. Twenty-two patients (7.5%) felt highly exposed to COVID-19 during the endoscopy examination and 144 patients (48.9%) rated the examination as satisfactory. Conclusion: Gastrointestinal symptoms initially described as rare are being reported with increasing frequency in studies and may motivate the request for endoscopy examinations. However, the risk associated with infection with SARS-CoV-2 does not seem to have been sufficiently taken into account in endoscopy centers in the 3 countries. 展开更多
关键词 ENDOSCOPY covid-19 patients Exposure symptomS
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基于时机理论的新型冠状病毒肺炎轻症患者患病期间心理体验的质性研究 被引量:4
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作者 宋舒 高彩萍 +3 位作者 秦佳文 顾钦赟 顾明明 张伟英 《上海护理》 2021年第9期13-17,共5页
目的以时机理论为框架,描述新型冠状病毒肺炎轻症患者在疾病不同阶段的心理体验,为制订有针对性的护理措施提供参考。方法采用目的抽样法,选取2020年2月11日至3月5日湖北省武汉市客厅方舱医院收治的新型冠状病毒肺炎轻症患者11例为研究... 目的以时机理论为框架,描述新型冠状病毒肺炎轻症患者在疾病不同阶段的心理体验,为制订有针对性的护理措施提供参考。方法采用目的抽样法,选取2020年2月11日至3月5日湖北省武汉市客厅方舱医院收治的新型冠状病毒肺炎轻症患者11例为研究对象。采用质性研究中的现象学研究方法,对其进行半结构式深入访谈,采用Colaizzi七步分析法进行资料分析。结果新型冠状病毒肺炎轻症患者疾病心理体验在3个阶段可归纳为10个主题,诊断期以消极心理体验为主,包括侥幸心理、担心被感染、焦虑与恐慌;隔离治疗期以不稳定心理体验为主,包括安心治疗、牵挂家人、期待出院、感恩感谢;出院准备期以积极心理体验为主,包括寻求支持、耐心康复、主动健康。结论新型冠状病毒肺炎轻症患者疾病进展过程中心理体验复杂、多变,医护人员应该分阶段、有计划地给予相应的心理支持和专业指导,同时可联合社会支持资源等以进一步促进患者的身心健康。 展开更多
关键词 新型冠状病毒肺炎 轻症患者 疾病阶段 心理体验 质性研究
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2022年上海市某方舱医院收治的3054例新冠轻型/无症状感染病例的流行病学特征 被引量:5
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作者 陈兵 刘效辉 +5 位作者 赵林 李龙军 顾安曼 伊洪莉 闫根全 刘可可 《中华医院感染学杂志》 CAS CSCD 北大核心 2022年第24期3681-3686,共6页
目的对感染新冠病毒奥密克戎(Omicron)BA.2毒株的方舱医院住院患者流行病学特点进行深入分析。方法回顾性收集2022年4月8日-5月13日入住上海市石龙路方舱医院的新冠病毒轻型和无症状感染病例,分析其流行病学史、一般状况、住院天数、新... 目的对感染新冠病毒奥密克戎(Omicron)BA.2毒株的方舱医院住院患者流行病学特点进行深入分析。方法回顾性收集2022年4月8日-5月13日入住上海市石龙路方舱医院的新冠病毒轻型和无症状感染病例,分析其流行病学史、一般状况、住院天数、新型冠状病毒(SARS-CoV-2)疫苗接种情况和病毒基因循环阈值(Ct)信息。利用单因素和多因素的Logistic回归分析患者住院>14 d和未注射疫苗的危险因素。结果研究收集2896例奥密克戎变异株感染者,平均住院天数(10.79±4.31)d,入院时病毒N基因和ORF1ab基因的Ct值分别为(28.63±6.55)和(29.45±5.50),其中13.05%患者未接种新冠疫苗。年龄越大者,住院时间超14 d可能性越大,而疫苗接种次数越多者,则更有可能14 d内出院;对907例患者入院时的新冠核酸检测显示,未成年患者病毒N和ORF1ab基因Ct值高于成年患者,合并常见慢性病患者的基因Ct值低于未合并的患者;相关性分析显示住院时间与N基因(r=-0.362,P<0.001)和ORF1ab基因Ct值(r=-0.391,P<0.001)呈负相关。结论新冠病毒感染患者的年龄、合并疾病情况、疫苗接种次数、入院病毒核酸Ct值是影响患者住院天数的危险因素。通过方舱医院对无症状和轻型新冠感染者进行隔离可有效控制疫情社会面传播。 展开更多
关键词 上海 方舱医院 新型冠状病毒 Omicron变异株 新冠轻型 新冠无症状感染者 新冠疫苗接种 流行病学
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